• Three patients presented with multisystem disease that shared many of the features of toxic shock syndrome. Bacteriologic and serologic evidence strongly suggested that group A β-hemolytic Streptococcus had caused the illnesses. Group A streptococcal infection may be an underdiagnosed cause of a toxic streptococcal syndrome, a syndrome of multisystem disease apparently mediated by toxins.
(Arch Intern Med 1988;148:1421-1424)
Bartter T, Dascal A, Carroll K, Curley FJ. 'Toxic Strep Syndrome'A Manifestation of Group A Streptococcal Infection. Arch Intern Med. 1988;148(6):1421–1424. doi:10.1001/archinte.1988.00380060185032